Manitoulin-Sudbury ADM

September 9, 2022

Ms. Donna Stewart
Chief Administrative Officer
The Manitoulin-Sudbury District Services Board
Manitoulin-Sudbury DSB Paramedic Services
210 Mead Boulevard
Espanola ON  P5E 1E9

Dear Ms. Stewart

Re: Ministry of Health Agreement with The Manitoulin-Sudbury District Services
Board effective the 28th day of January 2014 (the “Agreement”)

This letter is further to the recent letter from the Honourable Sylvia Jones, Deputy Premier and Minister of Health, in which she informed your organization that the Ministry of Health (the “ministry”) will provide The Manitoulin-Sudbury District Services Board for Manitoulin-Sudbury DSB Paramedic Services up to $454,687 in additional base funding with respect to the Land Ambulance Services Grant (LASG) for the 50:50 partnership for the 2022 calendar year. This will bring the total maximum base funding available under the Agreement for the 2022 calendar year up to $10,267,776.

Please note this amount does not include any inflationary adjustment.

The Ministry will provide your organization with the funding noted in this letter subject to the Ministry receiving the necessary appropriation from the Ontario Legislature.

Your grant will be adjusted in your electronic transfer payments and provided in semi- monthly payments in the middle and the end of each month.

We appreciate your cooperation with the ministry in managing your funding as effectively as possible. You are expected to adhere to our reporting requirements, particularly for in-year service and financial reporting, which is expected to be timely and accurate. Based on our monitoring and assessment of your in-year service and
financial reporting, your cash flow may be adjusted appropriately to match actual services provided.

It is also essential that you manage costs within your approved budget.

Please review the attached 2022 LASG calculation carefully.  Should you require any further information or clarification, please contact Nicole Ding, Senior Financial Analyst at 437-335-3560 or by e-mail at

Thank you for all that you and your organization is doing to protect the health and safety of the people of Ontario during the COVID-19 outbreak and your ongoing dedication
and commitment to improving land ambulance services in Ontario. Sincerely,

Susan Picarello
Assistant Deputy Minister


c:Mr. Bruce Killah, Interim Board Chair, The Manitoulin-Sudbury District Services Board, Manitoulin-Sudbury DSB Paramedic Services
Mr. Paul Myre, Chief of Paramedic Services, The Manitoulin-Sudbury District Services Board
Mr. Jim Yuill, Director, Financial Management Branch
Mr. Jeffrey Graham, (A) Director, Fiscal Oversight & Performance Branch
Mr. Stuart Mooney, Director, Emergency Health Program Management & Delivery
Branch (EHPMDB)
Ms. Josee Lafleur, (A) Senior Field Manager, North Field Office, EHPMDB